Kristy Polhemus
Dental Assistant
102 Flag Lake Dr Ste C
Lake Jackson
, Texas 77566-6215
Kristy Polhemus
Dental Assistant
102 Flag Lake Dr Ste C
Lake Jackson
, Texas 77566-6215
(979) 297-6226
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Kristy Polhemus
- 1109 E Kyle Rd
- Clute, TX
- Zip : 77531-3311
- Fax : (979) 297-6226
- Phone : (979) 285-5114
Second Address
- Kristy Polhemus
- 102 Flag Lake Dr Ste C
- Lake Jackson, TX
- Zip : 77566-6215
- Fax : (979) 297-6226
- Phone : (979) 297-1201
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FAQs
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Is Kristy Polhemus a sole practitioner?
Is Kristy Polhemus accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 2067 | TX |
National Provider Identifier
| NPI | 1184721276 |
|---|---|
| Provider Name | Kristy Polhemus |
| First Address | Clute, TX 77531-3311 |
| Second Address | Lake Jackson, TX 77566-6215 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.